MRS. PHYLLIS SUSAN BUTLER (APN-C) – Adult Health Nurse Practitioner, NPI 1639461189
Adult Health Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. PHYLLIS SUSAN BUTLER (APN-C)
1660 W Garton Road
Ozark, MO 65721
Phone: (877) 749-7428
Type: Location
609 W MAPLE AVE
SPRINGDALE, AR 727645335
Phone: (870) 743-4263
Type: Mailing
620 N Main
Harrison, AR 72601
Phone: (870) 414-4511
Type: Location
609 W Maple Ave
Springdale, AR 72764
Phone: (870) 743-4263
Type: Location
860 HIGHWAY 62 E STE 10
MOUNTAIN HOME, AR 726533200
Phone: (870) 424-3181
Fax: (870) 424-3089
Type: Mailing
4313 S PLEASANT CROSSING BLVD
ROGERS, AR 727581347
Phone: (479) 947-4003
Fax: (870) 424-3089
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $41.
Total Amount is formed as General ($41) + Research ($0) + Ownership ($0) = $41.
Last reported payment date: 2024-09-24 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($41).
Total Amount
$41
General + Research + Ownership
Payments
1
Total payment records
General Amount
$41
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $41 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-02-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120223000087 | I | Nurse Practitioner | AR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 65721)
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Reviews
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